Chapter. 7: Mood Disorder & Suicide

281 Psych

Major Depressive Episode

A change in functioning lasting up to 2 weeks or more, always includes depressed mood and/or anhedonia.

Anhedonia

The inability to experience pleasure, joy, or interest in activities that a person previously enjoyed.

Manic Episode

A change in functioning lasting up to a week or more, which always includes elevated mood and increased activity or energy.

Hypo-manic Episode

Similar to a manic episode but less severe and judgment is not impaired.

Persistent Depressive Disorder (Dysthymia)

A disorder with generally milder symptoms than major depressive disorder, lasting up to 2 years or more.

Premenstrual Dysphoric Disorder

A severe form of premenstrual syndrome (PMS) that includes significant mood lability and impairment of functioning.

Disruptive Mood Dysregulation Disorder

A disorder in children ages 6-18 characterized by persistent irritability and frequent temper outbursts.

Etiology of Depressive Disorders

Includes biological factors (genetics, biochemical factors), psycho-social factors (psychodynamic, learning theory), and cognitive theory.

Treatment of Depressive Disorders

Includes antidepressant medications, electroconvulsive therapy (ECT), interpersonal therapy, and cognitive-behavioral therapy (CBT).

Bipolar I Disorder

Characterized by major depressive episodes and manic episodes.

Bipolar II Disorder

Characterized by major depressive episodes and hypo-manic episodes.

Cyclothymic Disorder

A disorder involving mild depressive periods and hypo-manic episodes.

Lithium Carbonate

A primary treatment for bipolar disorders, its mechanism of action is unclear and can cause toxicity.

Suicidal Risk Factors

Includes mood disorders, previous suicide attempts, presence of alcohol/drugs, hopelessness, and shame.

Suicide Intervention Techniques

Involves talking about suicidal thoughts, using ambivalence, implementing short-term no-suicide contracts, and removing means of suicide.